DeFilippo v. Mutual Life Insurance

13 A.D.3d 178, 787 N.Y.S.2d 11, 2004 N.Y. App. Div. LEXIS 15351
CourtAppellate Division of the Supreme Court of the State of New York
DecidedDecember 16, 2004
StatusPublished
Cited by8 cases

This text of 13 A.D.3d 178 (DeFilippo v. Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DeFilippo v. Mutual Life Insurance, 13 A.D.3d 178, 787 N.Y.S.2d 11, 2004 N.Y. App. Div. LEXIS 15351 (N.Y. Ct. App. 2004).

Opinion

Order, Supreme Court, New York County (Helen E. Freedman, J.), entered May 12, 2003, which denied defendants’ motion to decertify the plaintiff class and held the decertification issue in abeyance pending appeals by plaintiffs in related cases and a hearing on the decertification question, unanimously reversed, on the law, without costs, the motion granted, and the class decertified.

This is the latest in a series of appeals arising out of litigation over the “vanishing premium” life insurance policies sold by defendants to plaintiffs. The facts underlying plaintiffs’ claims [179]*179are set out in detail in the Court of Appeals’ decision in Gaidon v Guardian Life Ins. Co. (94 NY2d 330, 340-342 [1999]). Essentially, plaintiffs allege that they purchased their insurance policies based on defendants’ false representations that out-of-pocket premium payments would vanish within a stated period of time, and that these representations were false because they were based on unrealistic dividend projections.

Review of the procedural history of this case is necessary to determine the class certification question before us. Plaintiffs commenced the instant action in 1995, titled Goshen v Mutual Life Ins. Co. (NY County Index No. 600466), alleging causes of action for breach of contract, fraud, fraudulent inducement, negligent misrepresentation, negligent supervision, breach of fiduciary duty, violations of Insurance Law §§ 2123 and 4226 and violation of General Business Law § 349.

In an order entered August 21, 1996, as amended, the trial court granted plaintiffs’ motion for class certification, defining the class as policy holders who “were harmed due to Defendants’ alleged wrongful conduct with respect to the sale of Policies on an alleged ‘vanishing premium’ basis.” Significantly, although defendants conceded that the “top-down” allegations of a nationwide fraudulent marketing scheme might properly be the subject of class-wide treatment, they reserved the right to challenge class treatment of any claims in which the “point-of-sale” conduct of individual sales agents was implicated.

Subsequently, in an order entered March 18, 1999, Supreme Court granted defendants’ motion for summary judgment and dismissed the complaint. This Court affirmed the dismissal of the complaint (Goshen v Mutual Life Ins. Co. of N.Y., 259 AD2d 360 [1999]), but the Court of Appeals modified to reinstate the General Business Law § 349 claim (Gaidon v Guardian Life Ins. Co., 94 NY2d 330 [1999]).1 The issue of class certification was not before either appellate court.

Thereafter, defendants moved to decertify the class, arguing that certain language in the Court of Appeals’ Gaidon decision had transformed the instant case from a “top-down” case to a “point-of-sale” case. Defendants asserted that this transformation undermined the basis for class certification since individual issues would predominate over common issues in a point-of-sale case. Supreme Court denied the motion, finding that Gaidon did not shift the focus away from a “top-down” theory of plaintiffs’ case.

[180]*180Defendants did not appeal the denial of decertification, but the individual plaintiff Goshen appealed the dismissal of his claim, which is not at issue here. This Court affirmed the dismissal of Goshen’s claim (Goshen v Mutual Life Ins. Co. of N.Y., 286 AD2d 229 [2001]), and the Court of Appeals affirmed (98 NY2d 314 [2002]). In that decision, the Court of Appeals made the following statement with respect to the gravamen of the General Business Law § 349 claim which underlies defendants’ present decertification motion: “[t]he phrase ‘deceptive acts or practices’ under the statute is not the mere invention of a scheme or marketing strategy, but the actual misrepresentation or omission to a consumer” {id. at 325). Defendants argue that the above-quoted language from Goshen makes it clear that any trial of plaintiffs’ General Business Law § 349 claim will necessarily entail inquiries into each plaintiffs personal interactions with defendants’ sales agents, and that, consequently, individual issues will overwhelm any issues common among class members (see CPLR 901 [a] [2]).

In the order appealed from, the motion court acknowledged that the above-quoted language from the Goshen decision made it likely that plaintiffs’ case would “require[ ] an inquiry into the specific circumstances surrounding that consumer’s interactions with [defendant’s] representatives.” Nevertheless, the court concluded that a “more narrowly defined class, whose common issues predominate over individual inquiries, may be appropriate.” Accordingly, the court held the decertification issue in abeyance “pending appeals by plaintiffs in related cases and a hearing on whether the present class, or a modified one, can satisfy the requirements of CPLR § 901 and the ‘point-of-sale’ issue raised by Goshen.”2 We reverse.

Supreme Court erred in holding defendants’ decertification motion in abeyance. The Court of Appeals’ definitive statement in Goshen (98 NY2d at 325), that deceptive acts or practices under General Business Law § 349 “[are] not the mere invention of a scheme or marketing strategy, but the actual misrepresentation or omission to a consumer,” eliminated any doubt that the prosecution of plaintiffs’ General Business Law § 349 claim would require individualized inquiries into the conduct of defendants’ sales agents with respect to each individual purchaser. Given the necessity of this individualized proof, the motion court should have granted defendants’ second decertification motion on the ground that common questions of law or [181]*181fact would no longer predominate over questions affecting only-individual members (see CPLR 901 [a] [2]; see also Solomon v Bell Atl. Corp., 9 AD3d 49, 53-54 [2004]; Carnegie v H&R Block, Inc., 269 AD2d 145, 147 [2000], lv dismissed 95 NY2d 844 [2000]).

This Court’s recent holding in Gaidon v Guardian Life Ins. Co. (2 AD3d 130 [2003]), a case factually “indistinguishable” from the instant one (Goshen v Mutual Life Ins. Co., 259 AD2d 360 [1999]), further mandates this conclusion. In December 2003, over six months after the motion court’s decision denying decertification in this case, we held in Gaidon (2 AD3d at 130) that the trial court had properly denied the plaintiffs’ motion for class certification in that case because the above-quoted Goshen language made it clear that the General Business Law § 349 claim “would require individualized proof in the case of each class member, which would in turn raise questions that would overwhelm any issues common to the class” (citations omitted). Thus, the Court of Appeals’ holding in Goshen and our recent holding in Gaidon compel the conclusion that decertification should be granted here.

Plaintiffs’ remaining arguments against decertification are unavailing. Contrary to plaintiffs’ argument, defendants’ second decertification motion was justified by an intervening change in the law, namely, the Court of Appeals’ Goshen decision (see Rosenbaum v City of New York, 5 AD3d 154 [2004]). Not until Goshen was it made clear that a point-of-sale inquiry was an essential element of a General Business Law § 349 claim in these vanishing premium cases.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Jackson v. Citywide Mobile Response Corp.
New York Supreme Court, 2023
Pludeman v. Northern Leasing System, Inc.
142 A.D.3d 914 (Appellate Division of the Supreme Court of New York, 2016)
Pludeman v. Northern Leasing Systems, Inc.
140 A.D.3d 556 (Appellate Division of the Supreme Court of New York, 2016)
Dugan v. London Terrace Gardens, L.P.
45 Misc. 3d 362 (New York Supreme Court, 2013)
Morrissey v. Nextel Partners, Inc.
72 A.D.3d 209 (Appellate Division of the Supreme Court of New York, 2010)
Newman v. RCN Telecom Services, Inc.
238 F.R.D. 57 (S.D. New York, 2006)
Smilen v. William Penn Life Insurance
19 A.D.3d 476 (Appellate Division of the Supreme Court of New York, 2005)

Cite This Page — Counsel Stack

Bluebook (online)
13 A.D.3d 178, 787 N.Y.S.2d 11, 2004 N.Y. App. Div. LEXIS 15351, Counsel Stack Legal Research, https://law.counselstack.com/opinion/defilippo-v-mutual-life-insurance-nyappdiv-2004.